Individual provider Active NPI

Chad R Sumulong, DO

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1679152888
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61167160 Issued in WA
Practice address
3400 California Ave SW
Seattle, WA 98116-3307
Phone
(206) 933-1041
Fax
(206) 933-1047
NPI assigned
Apr 5, 2021
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61167160 WA Primary

Addresses

Primary practice location

3400 California Ave SW
Seattle, WA 98116-3307

Mailing address

3400 California Ave SW
Seattle, WA 98116-3307
Phone (206) 933-1041

Other identifiers 1

IdentifierTypeStateIssuer
2183439MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csumulong685770@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014001217 WA Practitioner - Family Practice 4284030024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4550 Fauntleroy Way SW
Seattle, WA 98126-2740
Phone (206) 971-0425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as apm
Quality
89.39
Promoting interoperability
85.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP61167160WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
Highline Medical Group Inc Family Medicine Past Accepting new patients

Locations

4207 Kitsap Way
Bremerton, WA 98312
Phone (360) 415-1080

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

4550 Fauntleroy Way SW
Seattle, WA 98126
Phone (206) 933-1041

4550 Fauntleroy Way SW
Ste 100
Seattle, WA 98126
Phone (206) 403-1601

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1679152888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163307",
            "telephone_number": "206-933-1041",
            "fax_number": "206-933-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163307",
            "telephone_number": "206-933-1041",
            "fax_number": "206-933-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMULONG",
        "first_name": "CHAD",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61167160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183439",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csumulong685770@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 California Ave SW",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981163307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.